MEDICARE: DAVID R. FICKLEN, M.D., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	K5929	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508086323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID R. FICKLEN, M.D., P.A.

Provider Business Mailing Address
First Line	:	102 MEDICAL PARK LN STE A
Second Line	:
City	:	HUNTSVILLE
State	:	TX
Zip	:	77340-4975
Country	:	US
Telephone Number	:	936-435-0014
Fax Number	:	936-435-9108

Provider Business Practice Location Address
First Line	:	102 MEDICAL PARK LN STE A
Second Line	:
City	:	HUNTSVILLE
State	:	TX
Zip	:	77340-4975
Country	:	US
Telephone Number	:	936-435-0014
Fax Number	:	936-435-9108

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID R FICKLEN
Credential	:	M.D.
Telephone Number	:	936-435-0014

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	05/18/2011

Similar Medicare Providers

1356347603 — DAVID R FICKLEN
Practice Location Address:

102 MEDICAL PARK LN STE A
HUNTSVILLE, TX
77340-4975

Practice Phone: 936-435-0014
Practice Fax: 936-435-9108

1780007435 — KIDNEY CENTER OF WALKER COUNTY LLC
Practice Location Address:

102 MEDICAL PARK LN , SUITE A
HUNTSVILLE, TX
77340-4975

Practice Phone: 936-294-0971
Practice Fax: 936-294-0977

1396398087 — AMY EVA RAIN APRN, FNP-C
Practice Location Address:

102 MEDICAL PARK LN STE A
HUNTSVILLE, TX
77340-4975

Practice Phone: 936-304-1700
Practice Fax: 936-304-1701

1801531470 — MS. DAYANA NOEMI JACOME AGACNP
Practice Location Address:

102 MEDICAL PARK LN STE A
HUNTSVILLE, TX
77340-4975

Practice Phone: 936-294-0971
Practice Fax: 936-294-0977

1487525101 — ANA LAURA OLVERA-TORRES NP
Practice Location Address:

102 MEDICAL PARK LN STE A
HUNTSVILLE, TX
77340-4975

Practice Phone: 936-500-9500
Practice Fax:

1023881638 — LYDIA JOINER LPC ASSOCIATE
Practice Location Address:

327 TEXAS GRAND RD
HUNTSVILLE, TX
77340-1048

Practice Phone: 281-516-8766
Practice Fax:

Directions to “DAVID R. FICKLEN, M.D., P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.